Most of the comments or questions I get are from readers who are nursing colleagues. Occasionally, I get comments from readers who are infusion patients. This one comment stood out…. I go to an infusion center every two months for several years now to receive my infusions. It is a very busy infusion center and…
One of the FAQ I get is this…. Q: Should you or should you not clean the top of vials after you just removed the protective lid? A: Yes, clean(wipe) the vial diaphragm even if you just flipped the lid off is the answer I give. Then I get this “deer in the headlight” look.…
In response to a question from a former ER nurse who now works for a physician office providing infusion services, I came upon this guide from the CDC. The question is why should infection control practices in a physician’s office differ from those in the hospital? In particular, this nurse was appalled that the physician…
Scrub….don’t wipe!!! According to the 2011 CDC guidelines section on “needleless intravascular catheter systems” statement #4 : “Minimize contamination risk by scrubbing the access port with an appropriate antiseptic (chlorhexidine, povidone iodine, an iodophor, or 70% alcohol) and accessing the port only with sterile devices. Category 1A” This is an update to their 2002 guidelines…
…those vascular access devices? Of course… all nurses who care for vascular access devices (VAD) should, right?? …. but do they ” flush and lock” or ” flush” only thinking that flushing is enough to keep the VAD patent? The 2011 Infusion Nursing standards of practice makes this distinction…. “Flushing” – the act of moving…
I am back from the INS 2011 meeting in Louisville and although it was exhausting, one can’t say they didn’t learn anything, The week was packed with educational sessions that focused on may different core aspects of infusion nursing. The exhibit hall was packed with vendors and manufacturers eager to showcase their latest and greatest…
Last February 2010, I wrote a blog when I observed some nurses re-using syringes. I couldn’t believe that a nurse would actually re-use a syringe but it happened and I was there to see it. Here’s my blog post in case you missed it…“Single Use Only” I wanted to believe that it was an isolated…
The long awaited update to the 2002 CDC Guidelines for the Prevention of Intravascular Catheter -Related Infections was released today April 1 by the Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC). The 2011 guidelines outline steps to eliminate bloodstream infections in patients with intravenous catheters, which…
Anything with the letters…”IV” catches my attention immediately then I’m all over the article/topic or whatever the letters are attached to. More so when the word…”CONTAMINATED” appears before it. CONTAMINATED IVs…ugh, not something an infusion nurse want to see or hear at anytime. My heart broke when I saw the news about the 9 patient…
When was the last time you have counted the drops on your patient’s IV? Thanks to the marvels of infusion pump technology, for many of us, it may have been a while and to some of our new colleagues, perhaps none of them have actually counted drops. Why bother with such unimportant matter? Is it…
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